4691 Nicols RdAddress 46q i N; vai s u na a Zip 55129
Lot 2 Blk 1 Sub Cedarview 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: r 6._0 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) X
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verify with the buIlder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before fteeze potential exists.
Conqct engineering division at 681-4645 before working in right-of-way or instalIing underground sQrinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
& g l6-1
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
19?
3o
Date ( I ?S I OS STALBOERGER, CHRIS
. 4691 NICOLS ROAD ,
Site Street Address EAGAN, MN 55122 Uf11t #
(651) 454-2128 .
property Owner ------ "- -- ? Telephone # ( )
NORBLOM PLUMBING CO.
contractor Telephone # ( )
Address City State Zip
MlNNEAPOLIS, MN?
Other
The Applicant is: Owner ontrac or _
Alterations to existing dwelling D???
Add plumbing fuctures (excludes water softener and/or water heater--caete nex? $ 50.00
,!
_
section if installing these appliances). UU APR 2
?005
_Septic System Abandonment gy
_WaterTurnaround (add $125.004 a 518" meter is required) _
Other:
_
Water Softener ! Water Heater $ 15.00
_ new repVacement
__4 Lawn Irrigation _RP2 _?,PVB `!L new _repair _rebuitd $ 30.00
State Surcharge $ .50
Total $ !30 . 50
I hereby apply for a Residential Pfumbing Permit and acknowledge that the information is complete
and accurate; that the work will be,.in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
<IQ4 IVO'fUwV1 -
ApplicanYs Printed Name Applf . igna ure
t!' U S . / RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
`ro
?
?" -
1"
New Construdion Reouiremenfs RemodellReoair Reauirements Offce Use Onlv
3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert ol Survey Recd
(20%maximum lot mverage allowed) 1 sel of Energy Cakula6ons forheated atlditions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pres Not Reqd
isetofEnergyCalculations Aodilrott-indaaterfrnnsdesepticsystem _Do-siteSepticSystem
3 copies of Tree P2servation Plan if bt plaHed after 711193
Rim Jaist Dehail Options selection sheet (bldgs with 3 or less units
Date 7 / a a l?
Site Address 4(r4 1 N CGd L S ? Construction Cost .??, D!7(?
4 ft? Unit/Ste #
Description of Work /_OWi?X 1,6U, ?Elpl(5 hrr _
Property Owner F /411,1.A ry? (? [{R! ST st/? STitLF3n?-ae%F..? Telephone #(?a51 > Usy -?r a S
Contractor Lau &,¢' C'1TI l?"D{9?? '.s '
Address 7y ;
State A2/t/ t.a (?RlGF[/lc.Lj;5 $ rc?G&AIVD City
LM?FV??-?
Zip 53_0Vt1 Telephone#( A;>)
COMPLETE THIS AREA ONLY IF
-'`^ - Minnesota Rules 7670 Cateeorv I
Energy Code Category . Residential Ventilation Category 1 Worksheet
(J submission type) . Submitted
• Energy Envelopa Calculations Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
T
rei
JI1' ,"
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
uu L)
,
I hereby apply for a Residential Building Permit and ackno ledge that_th ation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
c,l
Applicant's nted Name
jcanYs?ignah e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
O 05 03-plex ? 11 10-plex al' 19 Lower Le/v& I O 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg?[Y or_ N? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
§K 33 Alteration
? 34 Replacement
Valuation a U v e)
Census Code 113 ?
SAC Units ?
Nbr. of Units (?)
Nbr. of Bldgs /
Type of Const 5116f_
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundatlon
Drain Tile
Roof _ Ice& Water Final
' Framing
Fireplace _ R.I. Air Test Final
? Insulation ?
Occupancy g- ?i MC/ES System
Zoning R-1 City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered ?
W idth
REQUIRED INSPECTIONS
FinallC.O.
a' FinallNo C.O.
? Plumbing
? HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Fina1
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
P,pproved By 6 i° -2-yg o3 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 EM. Alt- Multi
? 33 Ext. Alt - SF
? 36 MuIU Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
'Demolition (Entlre Bldg) - Give PCA handout to applicant
b` ? 3`FLO
PLUMBING (RESIDENITAL)
J Permit Apptication
? ??r ?1?? City Of Eagan
h 3830 Pilot Knob Road, Eagan Mn 55122
1°,(.? Telep? ne # 651-675-5675 FAX # 651-675-5674
0 d ?•?? --?-
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
?7
?
0
Date
/
/ /
J
Site Address Unit #
Property Owner bS'FylPJ S ? Iho(e4 eK?Telephone #(6?q) y???'Z 1 Z-a
Contractor i -t," gqNl-
Addres
s
1M1qrJ S • Vor}Q{?,?' T/?U. -(?
-
/?
?? 7 W VI / 1ftjnI - I r ' Y) Zip 523))-4,5 Telephone # QQ)-7) QZ3-1/4L'
The AppGcant is _ Owner ^' Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
. Includes County fee. Additlonal consuiffint fees may apply.
AI[er?a?ons To ESSNng Dwelling Unit, Including $ 50.00
? Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water lurnaround (+ 5!8" meter'rf needed -$121.00)
Other:
_ RPZ _ new installafion _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ R'ater heater $ 15.00
_ replacement _ additional
?
? `+ $ .50
State Surcharge ?
l
T
t 4Y
o
a
` hereby apply for a Residenrial Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will
ie in confonnance with the ordinances and codes of the City of Eagan and with ffie Plumbing Codes; that I understand tlus is not a
pernut, but only an applicarion for a pernilt, and work is not to start without a permit; tUat the work will be in accordance with the
approved plan in the case of work wlrich requues a review and approval of plans.
C(? Kl S?i ?c f IS C(,t,t°.? ?-?
ApplicanYs Printed Name Applicant's Signature
,
L 2 BL I CITY USE ONLY RECEIPT J?5p!,?i7
#: ( /
SUBD. ??,(+aYVI? )nj RECEIPTDATE: '/7,aG
PERMIT# 4073b_
8000 PLUM$IN6 PERM1T (USIDEN1'IRL)
crrYoF EAsAN
3830 Pu.or Kxos Rn
f ABAP, b!N 55122
851-6$1-4875
Please complete for: ? single tamily dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
TOTAL
EACH
#
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00 '
Bath tub $ 3.00 x - $ pO-
Floor drain 3.00 x ? _ $
Gas i in outlet ' minimum - i 3.00 x = $ "O-
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x f = $
Laund tra 3.00 x 1 = $
Lavato 3.00 x -15 = $ °-
Se tic S tem newfrefurhished ' requlres MPC Ilc. 75.00 x = $
Se tIC S Stem abandonment 30.00 x = $ ?
RPZ new Instaliation/repaidrebuild 30.00 X = $
Rou h o enin 1.50 x = $ ?fEO-
Shower 3.00 x - $ cO-
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existln dwelling 30.00 x = $
Watercioset 3.00 x 3 = $ I
Water heater 3.00 x = $ .?
W ater softener If dwelling under constructlon 5.00 x = $
W ater softener if exisen dwenin 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e .50 -> ---> ---> $ .50
Total --> -> --> ----> $ °o
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
..-•--------------•-----------•-------------•-------....-•-------------••--------••-------••---------• •---------------....-------•-----• •----
I hereby acknowledge that I have read this appliption, sfate that the information is wrtect and agree to comply with all applipble City of Eagan ordinances.
It is the applicant's responsibility to notl(y the property owner thatthe Cily of Eagan assumes no liability for any damages pused by the City during i5 nortnal
operational and maintenance acGvities lo the faciliGes consWCted under this permit within City propertylrightof•way/easement.
SITE ADDRESS: L4(O,:A\ I.vC` v?<
OWNER NAME: :_06)+teac, cp ?Aaxe-LTELEPHONE #:6I Z L4 (ag- n
(AREA CODE)
INSTALLER NAME:
STREET
CITY:
TELEPHONE#: C9Jl qZ-f?)-(iL44
_ (AREACODE)
CITY USE ONLY
LOT ? BL PERMIT #: ??737
SUBD.CPdarview )nj REcEIPT
RECEIPT DATE:
2000 MECHANICAL PERbiIT (RESIDENTIAL)
Date: W / oQ
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
cxxx o£ EAsa+x
3830 PILOT HIiOB RD
EAGAN D47 55122
651-681-4675
$ 30.00
6.00
State Surcharge .50
Total $ 2-
Complete this section onlv if you aze remodeline, adding to, or reoairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
_ Fumace
Air exchanger
_ Repair _ Other
_ A'v conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Cal! for inspections
SITE ADDRESS:
y
/}_ S Z
OWNER NAME: l?I IeC??(? ,L'r`r tlc4e? PHONE #: ivvd? -??R" lQ9?O
? ? (AREA CODE)
INSTALLER NAME: ?^! Z^[ PHONE #: ta S I - 4 Z 3-1 ILFt/
(.nxea couE)
STREE
CITY:
*:***?**?*?:+**.+********?*?*** CONTINU]
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:49:19
ID:
NAME: COLLEGE CITY HOMES
3743 9220 4681 NICOLS RD 50.00
2155 9001 4681 NICOLS RD 68,00
3868 9220 4681 NICOLS RD 492.00
3716 9220 4681 NICOLS RD 114.00
3713 9220 4681 NICOLS RD 50.00
3865 9220 4681 NICOLS RD 840.00
2252 9220 4691 NICOLS RD 30.00
3210 9001 4691 NICOLS RD 1,105.75
3866 9379 4691 NICOLS RD 100.00
3430 9001 4691 NICOLS RD 0.25
CR128319 ** CONTINUE:
USER ID: JAN ** CONTINUEi
'A"k ?"k'A"A"?' ?"A' ?"?' ?".E ?['?[ ?['/?' ?[ :t'A".? tF'{' 4 i i i i i .. i i .. .• . . . .
•**?***** **+rr**,r*,r*??*?****? ?** CONTINUF
CITY Or^ EAGAN
CASHIER: JS TERMINAL NO: 795
DATE : 04/28 /00 TIME: 08:49:21
ID:
NAME: COLLEGE CITY HOMES
3422 9001 4691 NICOLS RD 718.74
2275 9220 4691 NICOLS RD 1,089.00
3446 9001 4691 NICOLS RD 11.00
2155 9001 4691 NICOLS RD 0.50
3743 9220 4691 NICOLS RD 50.00
2155 9001 4691 NICOLS RD 60.00
3868 9220 4691 NICOLS RD 492.00
3716 9220 4691 NICOLS RD 114.00
3713 9220 4691 NICOLS RD 50.00
3865 9220 4691 NICOLS RD 940.00
Total Receipt Amount: 13,896.06
CR128 319
USER ID: SAN
??++a+,t*t*,r**,r******ttt,t:t*,t*+****t,t*,t**
..xxx?.,************+*****************.
CITY 0:' EAGAN
)_( 0 (?,
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:49:17
ID:
NAME: COLLEGE CITY HOMES
2252 9220 4695 NICOLS RD 30.00
3210 9001 4695 NICOLS RD 965.75
3866 9379 4695 NICOLS RD 100.00
3422 9001 4695 NICOLS RD 627.74
2275 9220 4695 NICOLS RD 1,089.00
3446 9001 4695 NICOLS RD 11.00
215E 9001 4695 NICOLS RD 0.50
3743 9220 4695 NICOLS RD 50.00
2155 9001 4695 NICOLS RD 48.00
3868 9220 4695 NICOLS RD 492.00
CR128319 ** CONTINUE
USER ID: JAN ** CONTINUE
#f+aa+a++aa+a.++a++aaaa+aa.++t#ir*********
?****+***?*?*t**:r*+*******,r;t,r• CONTINU
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:49:18
ID:
NAME: COLLEGE CITY HOMES
3716 9220 4695 NICOLS RD 114.00
3713 9220 4695 NICOLS RD 50.00
3865 9220 4695 NICOLS RD 840.00
2252 9220 4681 NICOLS RD 30.00
3210 9001 4681 NICOLS RD 1,195.35
3866 9379 4681 NICOLS RD 100.00
3422 9001 4681 NICOLS RD 776.98
2275 9220 4681 NICOLS RD 1,089.00
3446 9001 4681 NICOLS RD 11.00
2155 9001 4681 NICOLS RD 0.50
CR128319 ** CONTINU
USER ID: JAN ** CONTINU
:r?**********:r***?************x**?***?**
.... .......rxxz*x*xxxx*zx
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:50:17
zn:
NAME: LBI INC
3743 9220 1959 SILVER BEL 50.00
3713 9220 1959 SILVER BEL 50.00
Total Receipt Amount: 100.00
CR128321
USER ID: JAN
*******?*??****++*?********:r***x*******
`i ^I boerLjwi'
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) i D40
cirr oF EAcaN
* 3830 PILOT KNOB RD • 55122
L ? 651-681-4875 L
1U?9,?)
a S replMeretl qfe wneys ffawiny tq. IL of lot, tq. R. ol house
anC ? roofed areas C1?7, rtimdmum bt coveraae nibwedf
D 2 coples ol Pla?s (show beam S wlntloW ?Ixex Pa+retl hW. deqpn: etc.)
> 1 set a a»rpy cmcutanona
D 3 Copies d hee preservatbn plan tl bf plaHed CAter 7/1/99
oA,E: 6? I i??, aooo
OESCRIPTION Of WORK: ?CItU1?U'2'?5+y?,(,/°,T1? v
- . 4- -4`7 - U c?
?ismodeii¢eoair Ke?--?aNremenn-
2 copies of Plan
1 wt of eneryy cdculaHOns tor heated aWflons
I me wNey r« eMenor aaaUnan a aecw
CONSTRUCiION COST:
STREETADDRESS: 40I iUr_al s Iz)d J '
LOT: ?L_ BLOCK: I_ SUBD./P.I.D. C: &G"iCI.'/ LA-{,i.U 2-Vo ,/1 G00'11fY)
Name: Phone
PROPERTY lost flrst
OWNER
Sheet Address:
4e;?'r
Stafe:
Company: 6)I It/,1 P._,t-tfiYVl f S Phone #: 11?/? 1?119C( 'LL/?
(area code)
CONTRACTOR
Sheet Address:?zti 1,/? I/, /An. i I'r, ?l oG] ueense # -L-U?L-Exp.
CIN ??A U{I?? 1 ?? State: 010- Lp: 5"?J6 ??--?
ARCHITECT/ ?-
ENGINEER Company: .! Name:
Telephone C
Sheet Address: Regkhafbn ?:
CHy
Sewer/water Iicensed plumber
I hereby acknowledpe that I have read this appocalbn, alafe Ihal
of Minsneaota Stahiles and Cify of Eayan Ordinaneea
Signature of
OFFICE
Certificates of Survey Received o/ es _ No
Tree Presenation Plan Received - Yes _ No
State:
ONLY
Zip:
LP:
Phone#: ( (U?Jl) U23- 11y L/
oareef, and aWee to compy wNh ad appRcable State
r ?
W!Not Required tv
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 OS-plex ? 13 76-plex O 21 Poroh (3-sea.)
02 SF Dwelling O OB 06-plex ? 17 Garage [3 22 Porch/Addn. (4-sea.)
03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower level ? 24 Stortn Damage
0 05 03-piex ? 11 10-plex Pibg _YOr_N O 25 Miscellaneous
O 06 04-piex ? 12 12-plax ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. [3 43 Reroof
O 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
O 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERALINFORMAnON?
SAC Code
No. of Units
No. of Buildings /
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
-Main level sq. ft.
sq. ft.
Stucco/Stone 61fPC14-
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Vaiuatic
&--eO2 lL
yi.?? ?;,-,-?j
,Q"?0
6-1l11 of fr?
Tota
SAC Units
% SAC
?Eq
-?JC?
7bfl
---Ca-r2?
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Td? Engineering
Variance
,
O 31 Ext. Alt - Multi
O 33 Ext. Att - SF
0 36 Mutti
?
? GIAV
372,
?,J1 b
n: $ D O
/O 4'y ),qo
; ,?q4? )e S q = s -(
7 0 0XS`q=31,???
L> 'y
/ I 9j 0/ ?
,
4qD' SPcir
l':X1'liItIUIL fNVGI.OI'li AVh:ItAGL "U" CO!'IPU7'ATlpil I
st•rL AUDRIEJJ L} 0I M L1 S 'p2narl?.i ?AL*t L'?- -
CONTttnC'i'Oa College City C'onstrnction
oATe
ruo??L °„ ,?.?. (u I Z- 41nR G?-?OD
Dctcrminc uorkiny squarc fooL-aqc oC each.
1. 'foWl exposed wall arca ....... 171/s•0 sq, f2. x •<< = 141-4
2. Total roof.cciling arca ....... 105q.O ::y• ft- x •025 = Z7.1
Total exposed wall area above floor = /7NS•0 '
a. Total wall window area .................................... ? Z yq
b. Tota1 door area ........................................... 410. g
c. Total sliding glass door'area ............................. 3/-2-
d. Total fireplace wall area ................................. O
C. Tota1 wall framing area (averaqe 10e) ..................... 7!1- s
f. Total net uall area above floor ........................... ?j7 •I
q. Total rim joist area ...........................:.......... ?fI (n•(o
TAtal exposcd foundation arca = '( 3'3
h. Total found.ation vindow arca .............................. O
i. Total net foundstion area above gradc ..................... 3•3
Getermine "U" value of eacti wall segment.
a. ? Z g. 1.j X ,.U-- . '.SS = & $ . 41
b. Np B X 'u" 3•1
c. 31, ?. x .1u.• , 5 s' _ /7. z
a. O x °u^
e. 17y• 5 x '•u.• , 12- = 7n _ 4
x ..U,.
.
.?. 11 ?o• l? ,.
Li„
. o y7 -
S,S
O - D
93•3 . ..... . 0 83 7.5
......... ........
J ...... .....Total = J30.L
.........
IC itcro q3 ir, thc samc as, o r lc:;s than iCem 01, you 1110. ehc intunt
f/ g!
4?
µ
of SISC 6006(c)2. -Ct4,,,, + 3 ?$ O. fo G ,
/
,,c,,,"Ja SO c. 4 6 O l. ) a.
Total exposed rooE/ ccilin?j arca = / D?.O
j. Tota1 skylight area ....................................... _ d
Y.. Total roof/cciliny Erarniny an:a iavcrayc LD'i.J ............. 1O8•?
1. Tota1 net insulatcd roof/ccilinq acco ..................... 7$??_?._
De[ormine "U" valur Eor each rooE/ceiliny se(Jnenr.
j, p x^u° O O
k. JL).$ .?{ X"U" , OZS = z•7
1- x .,W. ,p?,/ = Zo•S
4 ......................••.... . ......Total = 231 L
If total of #4 is the same as, or less than 42, you Via/va, met ttic intent of
SBC 6006 (c) L. ?,Qa,? x?l C23• +. ? G ??c« h z?_'7• !?
bo0 4 C
Alternatc Building Envelope Dcsiqn
To utilize the total enveLope system method, thc values esta6li5h,2d by the
sum of items kl and 94 shall not be greater than t}ie sum of itcros @L and 92•
i. I 41• 4 + z
3. l8m•v + a
2?.? = Z19?d
73•z
= zo •8
a20ftl-? Cz (4 • 0) >
???
. • LOT SURVEY CHECKLIST FOR RESIOENTIAL
' BUILDING PERMIT APPLICATION
? ff42"?
L
? PROPERT Y LEGAL:
OT
h DATE OF SURVEY: ?-IZ-OO
W LATESTREVISION: y?f7-OO
?
? DOCUMENTSTANDAROS
0
Q
Q
?
a • Registered Land Surveyor signature and company
? ? • BuildingPermitAppGcant
o ? Legaldescription
o?jo ? ? Address
d/? a . North artow and scale
?'/ ?.? • House rype (rambler, walkout, split w/o, splh entry, lookout, etc.)
? o • Directional dreinage anows with slope/gracrient %
m'/ ?? • Proposedle?dsting sewer and water services 8 invert elevation
q' ? o • Street name
? ? ? • Driveway
r?? ? • Lot Square Footage
qY a ? • Lot Coverage
ELEVATIONS
Exis6na
? ? ? • Sewer service (or Proposed)
v? ?
;/ ? • Property comers
Top of curb at ttie driveway
?
? : Elevations of any ebsting adjacent homes
?? Adequate fooUng depth of structures due to adjacent u4Tity trenches
? Prooosed
y ? ? • Garagefloor
?/a ? • Firstfloor
?l o ? • Lowest expased elevafion (walkouUwindow)
?? o
? • Property corners
T
d
ti
o ? • oun
a
on
Front and rear of home at the
PONDING AREA (if aooGcable)
? /? • Easement line
? a?/ ?
Y . NWL
HWL
? s
?
o V// ? .
• Pond # designafion
? r? o • Emergency Ovefiow Elevation
DIMENSIONS
?o o • Lot IinesBearings 8 dimenaions
?? ? ? Rightof-way and sVeet width (to back at curb)
?? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
? (i.e. all structures requiring permanent faotings)
? ? • Show all easemeMS of record and any City utllides within those easements
?? /o
? o' o •
• Setbacks of proposed structure and sideyard ck of adjacent exiating structures
Retaining wsll requirements, R any/? I,-,'
Reviewed:
I i? '
MarU1199B
cauoIeLocvnnrr.FM
!
t
? S?,crveyor's Cert2f2cate
SURVEY FOR :couE?E arr
DESCRIBED AS :Lot 2, elock 1. CEDARVIEW 2N0 ADDITION, City ol fogon, Dokoto County, Minnesota
ond reserving eosemenfs ol re?cprd.
b"•?
leo,
--?
..., . .. ?-34.34
13.67 20.67
93 . !
q`D3.2 S89'37'18"W 2 7.92 0.31 93o.l
qbp. u. .. . . . ... ... 12.38 ? 29J2--i
___________ _____ _________...-'_ _1_..
41 9353
1 935.6 0? o? ? I
I?i f q315 26. 3 q? I I j 3 ti I
o A r 2rn o
N? ?
C O 1o PropOSe d
O?(?.+ 114 33, m 2-Story
N O. Droinoge & Utlnty t? ?c o1Zc% I -?, I
Easemenl '? ti 32.0 77. m
0 ocn ? 929.e
N 1 N? 8.00 I V
1 aPPROx lp
? 6ERYIC ? } ? ?
o N ?
? ? 933. I
931__5 1.67 Gorage m 994. 5.3;y. I ? N E
I O I
?
- -?------?--- --e sr-
9? - -- N89'59 O1"E 40.659 0l 930.9 q293 sq29.v ?-Wh1l
..., . 29. ?
I
N
LOT SQ. FOOTAGE = 23,147
HOUSE SQ. FOOTAGE = 1,647
LOT COVERAGE = 71'o
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PROPOSED ELEVATIONS
Top of Foundation = 93q,5
Gorage Floor = 934,i
Basement Floor = a2(0,q
Aprox. Sewer Service = 022.o'_
Proposed Elev.
Existing Elev. _
Droinage Directions =
Denotes Offset Stoke = .
SCALE: i inCh = 30 feet
BENCHMARK, C P c"b Stop
Elev= 929.49
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garage Side -
RECEIVED APR 2 Q ZOQO I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0:
HEDLLI?ND OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED OOR-167
BY ME OR UNDER MY DIREC7 SUPERViSION AND DOES NOT PURPORT TO 800K: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
PLANN/NC BNC1N6'BR/NC SURV6Y/NC
2005 Pin Ook Drive /j
Eagon, MN 55122 DATE _`"J'_/n/QQ CAD FiLE:
Phone: (657) 405-6600 n' E . LINDGREN, LAND URVEYOR
Fo. :(651) 405-6606 ?GV' ?/17 /0?? MINNES TA LICENSE NUMBER 14376 CV2
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA084743
Eagan, MN 55122 . Date Issued: 07/29/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4691 Nicols Rd
Lot: 2 Block: 1 Addition: Cedarview 2nd
PID 10-16931-020-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Signature Home Services Philip G Stalboerger
758 Reaney Ave. 4691 Nicols Rd
St. Paul MN 55106 Eagan MN 55122
(651) 731-1147
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
9
Use BLUE or BLACK Ink
i 1-----------------,
I 9
of Ea,,n R PertnR:
City O
Permit Fee: D, G 0
3830 Pilot Knob Road
t 1
Eagan MN 55122 1 Date Recelved:
Phone: (eS1) 875-5875 I
Fax: (851) 675=5694 13tath
L.-------- --------J
2011 RESIDENTIAL PLUMBING PER IT PLICAT~ICIN
Date: V site Address:
Tenant: Suite tl:
RESIDENT I OWNER Name: ph~e;
Address 1 Clty 1 Zip: N k c-o us AJ J,:~
CONTRACTOR Nartte%M11ERT COMPANY INC.dba CULLIGAN WA
: R4 M. GROVE'liG`TS.
Address: 1801 SOT" ST EAST Mr.
:45~-2241
State: Zip: 55.077' Phone: 65"1
Contact: BILL•MILBE' Email:
TYPE OF WORK _ New Replacement _Repalr _ Rebulld _ Modify Space _ Work h1.R.O.W.
Descrl tlon wbrk•,
PERMITTYPE RE$IDENTIAL•
Water Heater .Water Softener
Lawn hrlga0gn RPZ PV8) Add Plumbing Fixtures Maln Louver Level)
• Water Turnaround
• Septic System
' _ New
-Abandonment,
RESIDENTIAL FEES:
$ 55.00 Minimum Water Heater, Water Softener. or Water Heater And Softener (Includes $5.00 State Surcharge)
$35.00,Lawn Irrigation (Includes $6.00 State Surcharge)
$55.00 Add Plumbing Flxtutes, Septic System Abandonment, WaterTumaround• pncludes;5.00 State Surcharge)
`Water Turnaround (add $188.00 9, a 518' meter Is required)
i
$105.00 Septic System R4 ($10.00 pares bullt) (Includes County fee and $5.00 State Surcharge)
=85.00 Fire Repair (replace burned out appliances, ductwork, etc) (Includes $5.00 Stats Surcharge)
TOTAL FEES;
CALL BEFORE YOU Dtd. Call Gopher State One Call at (651) 434-0002 for protection against underground utility damage.
Call 48 Hours before yob Intend to dig to receW locates of underground utilities:
I hereby advvMedge Nat thh Iro madon N ownplete and accurate; Oat the work wM be ln6nforma;m Whh Ne ordMarvw and codes ofqce City of
Eagan. that I understand this Is a permll, but only'an applick0on'far a pemi ll. and h to start without a perm10 that Ne work VA be In
scOwdance with N• approved pla In o use of work which requires arwlew and a
x
' Applicant's Printed Name App canCs•Sipnature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115732
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4691 Nicols Rd
Lot:2 Block: 1 Addition: Cedarview 2nd
PID:10-16931-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Vladislav Fogel
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Reed
4691 Nicols Rd
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155071
Date Issued:04/26/2019
Permit Category:ePermit
Site Address: 4691 Nicols Rd
Lot:2 Block: 1 Addition: Cedarview 2nd
PID:10-16931-01-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael J Reed
4691 Nicols Rd
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature